OrganizationActive
Lighthouse Dermatology and Skin Cancer Specialists
NPI 1689413445 · MOHS-Micrographic Surgery Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1689413445
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rachel Escobar, Office Manager
Practice location
26901 Harper Ave
Saint Clair Shores, MI 48081-1971
Phone: (248) 726-7646
Mailing address
6363 29 Mile Rd
Washington, MI 48095-2401
Registry dates
- Enumerated
- 2024-05-22
- Last updated
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.